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本文分析了首选采用手术治疗的子宫内膜癌Ⅰ期患者81例。其中内膜样腺癌54例(66.7%)、乳头状腺癌10例(12.3%)、腺鳞癌14例(17.3%)、浆液性乳头状腺癌3例(3.7%)。结果:非内膜样癌5年总存活率(59%)明显低于内膜样癌(92.6%P<0.01);腺鳞癌、浆液性乳头状腺癌的复发、未控及手术前肿瘤扩散发生率均明显高于内膜样腺癌。这些结果表明子宫内膜癌的病理类型与预后关系密切,此结果对指导临床治疗有重要意义。
This article analyzes the preferred surgical treatment of endometrial cancer in patients with stage Ⅰ 81 cases. Among them, 54 (66.7%) had endometrioid adenocarcinoma, 10 (12.3%) had papillary adenocarcinoma, 14 (17.3%) had adenosquamous carcinoma and 3 (3.7%) had serous papillary adenocarcinoma. Results: The 5-year overall survival (59%) of non-endometrioid carcinoma was significantly lower than that of endometrioid carcinoma (92.6%, P <0.01); adenosquamous carcinoma, serous papillary adenocarcinoma recurrence, uncontrolled and preoperative tumor Diffusion were significantly higher incidence of endometrial adenocarcinoma. These results show that the pathological type of endometrial cancer and prognosis are closely related, the results of the guidance of clinical treatment of great significance.